NUMERO: #20220108

Título: TREATMENT OF SEVERE BUCOSINUSAL FISTULA DUE TO MYIASIS WITH PEDICULATED FLAP OF THE BUCAL FAT PAD

Nome do Apresentador: Angelo MENEGHIN

Categoria do Trabalho: Trabalhos Aprovados para Disponibilização em Vídeo (ADV)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: The objective of this work is to report a surgical rehabilitation of bucosinusal fistula resulting from myiasis from the closure with the Bichat's fat pad. An 81 years old female patient attended the dental office with sequelae due to myiasis. During the clinical examination bucosinusal communication was observed and with the help of cone beam tomography there was loss of bone structures of the middle third in the right face hemi, reaching the region of zygoma and zygomatic pillar. Immediate treatment was the rehabilitation of the oroantral fistula region with pediculated flap of the buccal fat pad, which is highly vascularized. Adipose tissue exposed by blunt dissection and without major tensions, suffers metaplasia serving as a bed for epithelium growth between 2 to 3 weeks without the need for coating with skin grafts. In conclusion, the use of Bichat´s ball was a successful alternative to rehabilitation of the oro-antral defect.

Autor 1:  Angelo MENEGHIN

E-mail 1:  [email protected]

Autor 2:   Clara COSTA do Nascimento

E-mail 2:  [email protected]

Autor 3 :  David Denner MAXIMIANO

E-mail 3:  [email protected]

Autor 4:  Atemir MIYAHIRA Filho

E-mail 4:  [email protected]

Autor 5:  Paula Carvalho VASCONCELOS

E-mail 5:  [email protected]